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Updated: Jan 10, 2026

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Noncanonical Neural-Hemodynamic Coupling by Default and in Schizophrenia
Michael S Jacob1, Brian J Roach2, Daniel H Mathalon1
1San Francisco VA Medical Center, San Francisco, California; Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California.
Neuroimaging studies reveal that brain activity and blood flow (BOLD) coupling varies. This neurovascular lag is delayed in schizophrenia and linked to stress, highlighting the need for better models.
Area of Science:
- Neuroscience
- Neuroimaging
- Psychiatric Research
Background:
- Current neuroimaging relies on canonical models of neurovascular coupling, assuming hemodynamic responses occur seconds after neural activity.
- Emerging evidence suggests noncanonical blood oxygen level dependent (BOLD) responses, which can be delayed under stress or aberrant in neuropsychiatric conditions.
Purpose of the Study:
- To investigate dynamic EEG-BOLD coupling and its temporal lags.
- To explore differences in neurovascular coupling between individuals with schizophrenia and healthy controls.
Main Methods:
- Simultaneous electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) were recorded in 57 individuals with schizophrenia and 46 controls during rest.
- Alpha band power from EEG was correlated with voxelwise, time-lagged BOLD signals to assess dynamic EEG-BOLD coupling.
Main Results:
- Pronounced diversity in alpha-BOLD coupling temporal profiles was observed across the brain.
- Early coupling (0-2s lag) was noted in posterior default mode network (DMN), thalamus, and brainstem.
- Anterior DMN regions showed canonical lags (4-6s), with some participants exhibiting longer lags associated with stress and schizophrenia.
Conclusions:
- Hemodynamic signals are dynamically coupled to neural activity across distributed networks.
- The hemo-neural lag may be associated with subjective arousal or stress.
- Further research into neurovascular coupling in psychiatric conditions is warranted.
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